Raj Rohan, Francis Maya Ann, Francis Deepa Treesa, Kaur Parvinder, Chima Rupert, Jamil Niyaz A
Internal Medicine, Nalanda Medical College and Hospital, Patna, IND.
Internal Medicine, Windsor University School of Medicine - St Kitts and Nevis, Cayon, KNA.
Cureus. 2023 Aug 27;15(8):e44204. doi: 10.7759/cureus.44204. eCollection 2023 Aug.
Intussusception, a rare cause of bowel obstruction in adults, is even less common in the elderly population. Unlike pediatric cases, adult intussusception is primarily associated with pathologic diseases acting as lead points, often requiring surgical intervention. We present a case of an 84-year-old male with a medical history significant for multiple comorbidities, who was diagnosed with a large segment jejunojejunal intussusception resulting in small bowel obstruction. Surgical management was recommended, and an exploratory laparotomy with bowel resection was performed, including the excision of the leading point. This case highlights the challenges in diagnosing adult intussusception and the importance of surgical intervention due to the high incidence of associated pathologic diseases.
肠套叠是成人肠梗阻的罕见原因,在老年人群中更为少见。与儿童病例不同,成人肠套叠主要与作为诱发因素的病理性疾病相关,通常需要手术干预。我们报告一例84岁男性病例,其有多种合并症病史,被诊断为导致小肠梗阻的大面积空肠-空肠套叠。建议进行手术治疗,遂实施了包括切除诱发因素在内的剖腹探查肠切除术。该病例凸显了诊断成人肠套叠的挑战以及由于相关病理性疾病的高发病率而进行手术干预的重要性。